SugarĮating a diet high in refined sugar can make it harder to control weight and obesity - and related belly fat - and make some bipolar disorder drug treatments less effective, according to the results of a multicenter study from 2016. People with bipolar disorder are also more likely to die prematurely if they use alcohol or other substances, according to a study published in 2015 that analyzed data on more than 11,000 people with bipolar disorder. Alcohol can affect bipolar mood swings and may also interact negatively with medication such as lithium, according to the National Alliance on Mental Illness (NAMI). AlcoholĪlcohol and bipolar disorder are a bad combination. Fiedorowicz adds that some over-the-counter medications, such as pseudoephedrine (Sudafed) - found in some cough and cold medicines - have stimulant properties similar to caffeine and can also trigger bipolar mood swings. The Sleep Foundation points out that caffeine can increase irritability and anxiety in addition to affecting sleep, and recommends avoiding caffeine as you approach bedtime. While the evidence isn’t conclusive, a systematic review published in 2021 noted that caffeine’s stimulant effect may be responsible for triggering mania symptoms in some people, and it may also change the way certain medications used to treat bipolar disorder are metabolized in the body. Caffeine is an underappreciated bipolar trigger and can also impair sleep, he says, which can be particularly problematic because sleep deprivation is a notorious trigger for bipolar mood swings and mania. “Stimulants can trigger mania and should be avoided,” says Jess Fiedorowicz, MD, PhD, the head of the mental health department at Ottawa Hospital and a professor at the University of Ottawa in Canada. Consider cutting back on or cutting out these items that could worsen your bipolar symptoms. If you have bipolar disorder, the fundamentals of a healthy diet include not just what you should eat but also what you shouldn’t eat. What Foods and Drinks Should People With Bipolar Disorder Avoid? To help you follow and stick to healthy diet guidelines, which include eating more fruit and vegetables and paying attention to the fat content in your diet, it may be helpful to work with a registered dietitian to come up with a plan that works for you. And a review published in 2016 concluded that an overall healthy lifestyle, including exercise and diet, can be useful in managing bipolar disorder long term (though the authors note that changing certain unhealthy habits can be a challenge). For example, a small study from 2015 found an association between certain fatty acids and the severity of self-reported symptoms in those with bipolar disorder. There is increasing evidence that nutrition affects mental health, including the mood states in bipolar disorder. “Maintaining a healthy diet has the potential to not only benefit the symptoms of bipolar disorder but reduce the burden of these co-occurring illnesses,” explains Dr. So choosing healthy options is particularly important if you have this condition. Moreover, individuals with bipolar disorder have a high prevalence for multiple chronic conditions, such as being overweight or obese, says Rachel Bergmans, PhD, MPH, a research investigator at University of Michigan Medicine in Ann Arbor. And while there is no specific diet recommended for bipolar disorder, certain food choices may help manage manic episodes. But a lesser-known effect of a poor diet, according to research, is that it can contribute to bipolar mood episodes. It’s no secret that eating unhealthy foods can lead to a host of ailments.
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